Active NPI
Maryana Peravozchykava, AU.D.
- Audiologist
- Brooklyn, NY
National Provider Identifier
1043613029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00002555
- Practice address
- 2560 Ocean Ave Ste 2a
Brooklyn, NY 11229-4507 - Phone
- (718) 646-1234
- Fax
- (718) 646-1235
- NPI assigned
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00002555 | NY | Primary |
Addresses
Primary practice location
2560 Ocean Ave Ste 2a
Brooklyn, NY 11229-4507
Mailing address
2560 Ocean Ave Ste 2a
Brooklyn, NY 11229-4507
Phone (718) 646-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2560 Ocean Ave
FL 2
Brooklyn, NY 11229-4507
Phone (718) 646-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002555 | NY | MD | Art Therapist |
| 00002555 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Facial Plastic Surgery Otolaryngology LLC | Current | Accepting new patients | |
| Gennady Ukrainsky MD PC | Current | Accepting new patients |
Locations
2560 Ocean Ave
#2A
Brooklyn, NY 11229
Phone (347) 398-1693
2560 Ocean Ave
#2
Brooklyn, NY 11229
Phone (212) 979-4771
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCGEAD/Endpoint/BCGEAD
- https://fhir4.healow.com/fhir/r4/AEGEAD/Endpoint/AEGEAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1356361794
-
- Otolaryngology Physician
- Forest Hills, NY
- NPI 1841486545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1043613029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 OCEAN AVE STE 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294507",
"telephone_number": "718-646-1234",
"fax_number": "718-646-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 OCEAN AVE STE 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294507",
"telephone_number": "718-646-1234",
"fax_number": "718-646-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAVOZCHYKAVA",
"first_name": "MARYANA",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "00002555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.